Field Trip Request Form For Mommy Groups

Field Trip Request Form for Mommy Groups

(210) 796-9843
Contact Person Full Name:*

First NameLast Name
Contact Number:*
Please enter a valid phone number.
Email Address:*
example@example.com
Mommy Group Name:
Estimated number of Kids:
Kids Ages:
Are Parents or Legal Guardians Attending?

YesNO
Estimated number of parents:
Are you having any food at the Gym?

SnacksLunchDinnerOther
Type a question

Package A: Allowance 10 Kids: $225.00 - 2 hoursPackage A: Use of Gym Floor, Arts & Crafts, Multipurpose and Sensory Rooms.Package A: Additional Kids $10 per Kid.Package B: Allowance 10 Kids: $335.00. - 2 hoursPackage B: Use of Gym Floor, Arts & Crafts, Multipurpose, Sensory and Events Rooms.Package B: Additional Kids $15.00 per Kid.Additional Hour: $125.00 - deposit $50.00Deposit: $125.00 - non refundable / non transferable.
- Deposit of $125.00 is required to reserve.
- This is a private event. Gym will be closed to others for the 2 hours duration.
How many other adults attending:
Date of Mommy Trip:

MonthDayYear
Date
Mommy Trip Hour Selection:

10:00AM - 12:00PM1:00PM - 3:00PM4:00 PM - 6:00PM
Day of the week:

MondayTuesdayWednesdayThursdayFriday
Any additional information or questions?
Contact Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gym rules:

To ensure cleanliness and safety:

All children and adults are required to wear socks.

No shoes allowed.

We have socks available for sale.

Food and drinks are not allowed on the gym floor.

The gym equipment is intended to be used only by children up to twelve years old due to weight limits.

Equipment safety rules must be followed at all times.

All children should be always supervised by parents or legal guardians.
All parents or guardians will need to sign a WRTS Customer Release of Liability, Indemnity Agreement, and Assumption of Risk Form.

You can scan the QR Code below and foward to the parents for their review and completion. Once signed parents can submit directly to WEROCK.
Date:

MonthDayYear
Date
Signature:

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Field Trip Request Form for Mommy Groups